2026/27 Seasonal Influenza Vaccination School Outreach Programme (SIVSOP) - Frequently Used Forms for Participating Schools

Enrolment &
Selection of Doctor/ Medical Organisation

Enrolment Form
Supplementary Form

Before vaccination

Sample for Notice to Parents on Arrangement for eConsent Form

SIVSO_S_A1(KG)

SIVSO_S_A1(PS)

SIVSO_S_A1(SS)

The Number of Students Consented to Vaccination of Each Class
- For KG/ CCC

- For Primary School

- For Secondary School

SIVSO_S_A2

Notice to Parents One Week before the First Dose of Vaccination Day

-Sample For Primary School & KG/CCC

-Sample For Secondary School

SIVSO_S_A3

Notice to Parents One Week before the Second Dose of Vaccination Day (Sample)

Seasonal Influenza Vaccine Consent Form

- Injectable Vaccine

- Nasal Spray Vaccine

- Injectable Vaccine or Nasal Spray Vaccine

Consent Form Sample

- Vaccine recipient (under 16 years old) whose Substitute Decision Maker agrees to register with eHealth for and on behalf of the vaccine recipient

- Vaccine recipient (16 years old or above but under 18 years old) who agrees to register with eHealth

- Vaccine recipient who is 18 years old or above

- Vaccine recipient who is an eHealth user

SIVSO_D_A2

Consent Forms Receipt Note

During vaccination

SIVSO_S_B1

List of Students Withheld Seasonal Influenza Vaccination

SIVSO_D_C2

SIVSO_D_C2(LAIV)

Seasonal Influenza Vaccine Information on Side Effects

- Injectable Vaccine

- Nasal Spray Vaccine

SIVSO_D_C2(2^nd)

Seasonal Influenza Vaccine Information on Side Effects and 2^nd Dose Arrangement

- Injectable Vaccine